Amanda Rousonelos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180015789 Issued in IL

Practice address

2611 Woodlawn Rd
Sterling, IL 61081-4151

Phone

(815) 625-0013

NPI assigned

May 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  NPD (past)
• Walsh Behavioral Health System L.L.C.

  • Counselor
  • Chicago, IL
  • NPI 1790581445
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1235628975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14047 IL HIGHWAY 40",
            "city": "BUDA",
            "state": "IL",
            "postal_code": "613149473",
            "telephone_number": "815-878-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WOODLAWN RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814151",
            "telephone_number": "815-625-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSONELOS",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011008",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180015789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay M Rodriguez
• Kristen Marie Roenfanz
• Kevin Rogers
• Theresa A Rogers
• Amy Rosengren
• Brandi Sanchez
• Nancy Sanchez
• Sauk Medical Clinic
• Sauk Valley Mind Matters PC
• Sauk Valley Physical Therapy, Inc.

• Mental Health Counselor in Sterling, IL
• Providers in Sterling, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.